Worcester, Massachusetts |
Closed Panel, Federally |
|
Qualified HMO |
Private Membership = 34,000 |
Reimbursement—Based on ACR |
= 91.4 Percent Area Cost in Year 1 = $119.12 |
95 Percent AAPCC in Year 2 = $120.19 |
95 Percent AAPCC in Year 3 = $144.86 |
Additional Benefits:
—Reduced Deductible and Coinsurance
—Preventive Services
—Eye exams and One Pair of Eyeglasses
—Prescriptions with $1 Copayment (Years 1 and 2); $2 (Year 3)
—Unlimited Hospital Days
|
Premium |
—$7.50 per Member (Years 1 and 2); $15 (Year 3) |
Marketing |
—Dual Choice for Medicare Supplemental Policyholders, Meetings, Mailings |
Enrollment |
—5,600 Beneficiaries |
|
Open Enrollment— |
February-March 1980 |
|
|
September 1980-January 1981 |
|
|
September-November 1981 |
|
10 Percent Penetration |